scholarly journals Exploring the Value of Using Patient-Oriented MRI Reports in Clinical Practice

2021 ◽  
Author(s):  
Nathan Perlis ◽  
Antonio Finelli ◽  
Mike Lovas ◽  
Alexis Lund ◽  
Amelia Di Meo ◽  
...  
Keyword(s):  
Emotional Experience ◽  
Test Results ◽  
Patient Portals ◽  
Patient Understanding ◽  
Prostate Mri ◽  
Short Answer ◽  
Clinical Encounters ◽  
Radiology Reports ◽  
Short Answer Questions ◽  
Improve Patient

Abstract Purpose Standard radiology reports (SRR) are designed to communicate information between doctors. With many patients having instantaneous access to SRRs on patient portals, interpretation without guidance from doctors can cause anxiety and panic. We designed a patient-centred prostate MRI template report (PACERR) to address some of these challenges and tested whether PACERRs improve patient knowledge and experience. Materials and Methods Patients booked for clinical prostate MRI were randomly assigned to SRR or SRR + PACERR. Questionnaires included multiple-choice that targeted 4 domains (understanding, usefulness, next steps, emotional experience) hypothesized to improve with patient-centred reports and short answer questions, testing knowledge regarding MRI results. Clinical encounters were observed and recorded to explore whether adding PACERR improved communication. Likert scaled-responses and short-answer questions were compared using Mann-Whitney U test and Kruskal-Wallis test. Results Of the 40 participants, the majority were MRI naïve (70%). Patients receiving a PACERR had higher scores in the categories of patient understanding (mean: 4.17 vs. 3.39, p=0.006), usefulness (mean: 4.58 vs. 3.07, p<0.001), and identifying next steps (mean: 1.89 vs. 3.03, p=0.003) but not emotional experience (mean: 4.18 vs. 3.79, p=0.22). PACERR participants found the layout and design more patient friendly (mean: 4.47 vs. 2.61, p<0.001) and easier to understand (mean: 4.37 vs. 2.38, p<0.001). In the knowledge section, overall, the PACERR arm scored better (87% vs. 56%, p=0.004). Conclusion With the addition of Prostate MRI PACERR, participants had better understanding of their results and felt more prepared to involve themselves in discussions with their doctor.

scholarly journals The Use of an Electronic Health Record Patient Portal to Access Diagnostic Test Results by Emergency Patients at an Academic Medical Center: Retrospective Study (Preprint)

2019 ◽  
Author(s):  
Brody Foster ◽  
Matthew David Krasowski
Keyword(s):  
Diagnostic Test ◽  
Laboratory Tests ◽  
Medical Center ◽  
Academic Medical Center ◽  
Patient Portal ◽  
Test Results ◽  
Patient Portals ◽  
Radiology Reports ◽  
Academic Medical ◽  
Laboratory Results

BACKGROUND Electronic health record (EHR) patient portals provide a means by which patients can access their health information, including diagnostic test results. Little is known about portal usage by emergency department (ED) patients. OBJECTIVE The study aimed to assess patient portal utilization by ED patients at an academic medical center using account activation rates along with the rates of access of diagnostic test results (laboratory results and radiology reports), analyzing the impact of age, gender, and self-reported patient race. METHODS This institutional review board–approved retrospective study was performed at a 60,000-visits-per-year university-based ED. We utilized EHR data reporting tools to examine EHR portal activation and utilization for all patients who had at least one ED encounter with one or more diagnostic tests performed between October 1, 2016, and October 1, 2017. The total dataset for laboratory testing included 208,635 laboratory tests on 25,361 unique patients, of which 9482 (37.39%) had active portal accounts. The total dataset for radiologic imaging included 23,504 radiology studies on 14,455 unique patients, of which 5439 (37.63%) had an active portal account. RESULTS Overall, 8.90% (18,573/208,635) of laboratory tests and 8.97% (2019/22,504) of radiology reports ordered in the ED were viewed in the patient portal. The highest rates of viewing of laboratory and radiology results were seen for those who were female, were aged 0 to 11 years (parent or guardian viewing by proxy) and 18 to 60 years, and self-reported their race as Caucasian or Asian. The lowest rates were for those who were teenagers, aged older than 81 years, African American/black, and Hispanic/Latino. Infectious disease, urinalysis, and pregnancy testing constituted the highest number of laboratory tests viewed. Magnetic resonance imaging reports were viewed at higher rates than computed tomography or x-ray studies (P<.001). Approximately half of all the diagnostic test results accessed by patients were reviewed within 72 hours of availability in the patient portal (laboratory results: 9904/18,573, 53.32% and radiology reports: 971/2019, 48.1%). On the other extreme, 19.9% (3701/18,573) of laboratory results and 31.6% (639/2019) of radiology reports were viewed more than 2 weeks after availability in the portal. CONCLUSIONS The data highlight the relatively low use of a patient portal by ED patients and existing disparities between patient groups. There can be wide lag time (months) between result/report availability and access by patients. Opportunities for improvement exist for both activation and more robust utilization of patient portals by ED patients.

scholarly journals Improving Emergency Department Patient Experience Through Implementation of an Informational Pamphlet

2019 ◽  
Vol 7 (2) ◽  
pp. 225-231
Author(s):  
Rohit B Sangal ◽  
Clinton J Orloski ◽  
Frances S Shofer ◽  
Angela M Mills
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Care Center ◽  
Tertiary Care ◽  
Emergency Department Patient ◽  
Control Group ◽  
Discharge Process ◽  
Test Results ◽  
Patient Understanding ◽  
Improve Patient

Objective: Patient satisfaction is emerging as a new health-care metric. We hypothesized that an emergency department (ED) informational pamphlet would significantly improve patient understanding of ED operations and ultimately improve patient satisfaction. Methods: We performed a prospective study of patients presenting to a single tertiary care center ED from April to July 2017. All patients were given a pamphlet on alternating weeks with regular care on opposite weeks and were surveyed upon ED discharge. The primary outcome was patient satisfaction with ED care. Secondary outcomes included patient understanding of various wait times (test results, consultants), discharge process, who was on the care team and what to expect during the ED visit. Results: Four hundred ninety-four patients were included in this study and 266 (54%) were in the control group. Of 228 (46%) patients who were given the pamphlet, 116 (51%) were unaware they received it. Of the remaining 112 (49%) patients who remembered receiving the pamphlet, 43 (38%) stated they read it. Among those reading the pamphlet, only two statements were significant: knowing what to expect during the ED visit (88% vs 71%; P = 0.012) and waiting time for test results (95% vs 75%; P = 0.003) when compared to those who did not receive or read the pamphlet. Conclusion: An ED informational pamphlet, when utilized by patients, does improve patient understanding of some aspects of the ED visit but does not appear to be the best tool to convey all information. Ultimately, sustained improvement in patient satisfaction is a complex and dynamic issue necessitating a multifactorial approach and other methods should be explored.

scholarly journals How to foster the formation of STEM identity: studying diversity in an authentic learning environment

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Alison Singer ◽  
Georgina Montgomery ◽  
Shannon Schmoll
Keyword(s):  
Learning Environment ◽  
Identity Formation ◽  
Sense Of Belonging ◽  
Sociology Of Science ◽  
Authentic Learning ◽  
Learning Task ◽  
Short Answer ◽  
Diversity And Inclusion ◽  
Educational Challenge ◽  
Short Answer Questions

Abstract Background STEM identity has been shown to have a powerful role in an individual’s success in educational environments, as well as on their career goals and trajectories. Historically, however, STEM identity formation for underrepresented students has been hampered by the lack of representation of in STEM fields, which predominantly consist of white males. One educational challenge is diversifying STEM classrooms, both in terms of the students themselves and also in terms of the science and scientists they learn about. Methods We piloted a 4-credit History, Philosophy, and Sociology of Science course at Michigan State University. Students were tasked with creating exhibits focused on themes of diversity and inclusion in science for a real client. Using a STEM identity survey, we assessed students’ attitudes towards the sciences, issues of diversity in science, and their sense of belonging to their educational communities. We also had the students respond to various short-answer questions throughout the semester to better understand their experiences working on a collaborative authentic learning task. Results Our results suggest that authentic learning experiences based around ideas of diversity and inclusion can help students develop sense of belonging and positive STEM identities. Students demonstrated shifts in their self-identities as scientists, focusing more on the intersection between their gender, ethnicity, and self-perception as a scientist. Through qualitative analysis of short-answer questions, we were able to ascertain that working in groups in an authentic learning environment helped the students improve their communication and collaboration skills. Conclusions Students’ increased focus on gender and ethnicity suggests that they are thinking critically about how their personal identities intersect with their scientific identities. Additional research would help us better understand if the coupling of authentic learning and inclusive teaching practices have significant impacts on the formation of students’ STEM identities.

A Comparison of Airline Safety Videos in Information Acquisition

2017 ◽  
Vol 61 (1) ◽  
pp. 1671-1673 ◽  
Author(s):  
Allison Ragan ◽  
Tessa Sommer ◽  
Frank Drews
Keyword(s):  
Information Acquisition ◽  
Safety Information ◽  
Relevant Information ◽  
Flight Safety ◽  
Information Retention ◽  
Short Answer ◽  
Airline Safety ◽  
Short Answer Questions ◽  
First Time

This study examined the effect of humor on airline safety information retention. Passenger attention to pre- flight safety demonstrations is low, even though it may impact the chance of survival in an aviation accident. Airlines have employed humor and entertainment to educate passengers on safety information. This study explored whether the humorous presentation increases retention of safety information, or if humor acts as a distraction from safety relevant information. Participants viewed two pre-flight safety demonstration videos (humorous and non-humorous) in counterbalanced order then answered short-answer questions about the content of the videos. Retention scores after viewing either type of video for the first time were the same. However, when a humorous video was shown prior to a standard safety video, retention scores for safety material dropped. These findings suggest that humorous safety demonstrations may be more effective, not because they are best at conveying information, but because passengers do not attend to standard videos if they have previously been exposed to a humorous version.

scholarly journals TEACHER’S QUESTIONS USED IN TEACHING ENGLISH AT THE 1ST GRADE STUDENTS OF ONE JUNIOR HIGH SCHOOL IN BANDUNG

2020 ◽  
Vol 3 (1) ◽  
pp. 78
Author(s):  
Gita Ernita ◽  
Tini Apriliani
Keyword(s):  
High School ◽  
Data Collection ◽  
Junior High School ◽  
Learning Process ◽  
Teaching And Learning ◽  
Research Participant ◽  
Teaching English ◽  
Short Answer ◽  
Descriptive Research ◽  
Short Answer Questions

Teachers are facilitators that assist students to make the learning process easier and more comfortale. Techer question is a part of learning process. The  aim  of  this  research  is to  find out the types  of  questions  asked  by teachers  in  teaching  and  learning  process.  This  research  is  descriptive  research.  Participant of this research are two English teachers at SMP PGRI Bandung. The  data  collection  used  two  instruments  namely    audio  recording  and  note taking.  From  this  research,  researcher  found  that  open ended questions are mostly occur in the classroom beside ; yes/no questions, short answer   questions,   display   questions,   referential   questions   and   non   retrieval questions. During research, there are three kind of languages used by teachers, they are English, mixed English –Indonesian, and Indonesian.

scholarly journals Assessment Certitude as a Feedback Strategy for Learners' Constructed Responses

2010 ◽  
Vol 43 (1) ◽  
pp. 25-45 ◽  
Author(s):  
W. A. Kealy ◽  
A. D. Ritzhaupt
Keyword(s):  
Recall Performance ◽  
Feedback Strategy ◽  
Fourth Group ◽  
Short Answer ◽  
Constructed Responses ◽  
Short Answer Questions

Educational researchers have rarely addressed the problem of how to provide feedback on constructed responses. All participants ( N = 76) read a story and completed short-answer questions based on the text, with some receiving feedback consisting of the exact material on which the questions were based. During feedback, two groups receiving feedback also rated the certainty of their response correctness—an activity we have termed assessment certitude. Additionally, participants in one of these groups viewed their initial responses along with the feedback. All three feedback conditions showed significant gains in recall performance compared to a fourth group that received no feedback. Low ratings of assessment certitude significantly correlated with improved recall for two groups receiving feedback that did not include their original responses. Among these participants, mental reiteration of the feedback received was the most frequently used mental strategy while participants in a third group, who saw their original responses during feedback, reported using other approaches such as visualization.

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